Get Metered Utility Verification Form - Efsp Website - Efsp Unitedway

Completing the Metered Utility Verification Form is essential for organizations providing utility payment assistance under the Emergency Food and Shelter Program. This guide provides clear, step-by-step instructions to help users accurately fill out the form online and ensure compliance with program requirements.

Follow the steps to successfully complete the Metered Utility Verification Form online.

1. Press the ‘Get Form’ button to obtain the Metered Utility Verification Form, making it easily accessible for online completion.
2. Begin filling out the client information section, entering the client's name, customer account number, complete address, and complete service address.
3. Indicate the utility payment type by circling the appropriate option: Electric, Gas, or Water.
4. Fill in the date range covered by the attached bill, specifying the start and end dates of the billing period.
5. Enter the due date of the attached bill.
6. Select whether the payment is for current month utilities or past due utilities.
7. Specify the amount being paid and for which month and year, ensuring it does not exceed one month's billing.
8. Complete the agency or Local Recipient Organization (LRO) use section by verifying the information with the utility company and providing the necessary details, including the verification date, utility company name, and contact person.
9. Ensure that the name and signature of the LRO staff person conducting the verification are included.
10. Review all entries to make sure the form is complete, save changes, and choose to download, print, or share the form as required.

Complete your documents online now to ensure timely submission and compliance.